Pierce County has reported syphilis at rates about 95% higher than the national average. In Fife, Washington, whether you need testing after a possible exposure or as part of routine care, you can choose from clinics that take walk-ins for same-day testing or from labs and at-home kits that let you plan around your own time. Read on for your options.
Available testing centers
9 testing options are listed for Fife, WA. The nearest, Kimi & George Tanbara, MD Health Center, is about 2.7 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Kimi & George Tanbara, MD Health Center in Tacoma carries federally qualified status, which means its STI screening (syphilis, gonorrhea, and chlamydia) runs on a sliding-scale fee tied to your income, keeping costs proportional for anyone who walks in without an appointment.
Tests offered
Fees & payment
A public STD-testing site about 3 miles from Fife.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
A community safety-net federally qualified health center about 4 miles from Fife. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Tacoma-Pierce County Health Department in Tacoma runs on a sliding-scale fee, open to anyone regardless of income, and tests for gonorrhea, chlamydia, syphilis, and HIV, rapid or conventional, with same-visit treatment for bacterial infections and appointments required. Spanish is spoken on staff.
Spanish is a working clinical language at Tacoma-Pierce County Health Department: not a supplemental service, but part of how counseling, test results, and treatment decisions are communicated. That means nuance in a conversation about exposure history or treatment adherence isn't compressed by translation lag.
Tacoma-Pierce County Health Department offers substance-use treatment alongside STI care, which means a patient managing both doesn't need to coordinate separate appointments at separate agencies. One visit can address intersecting health concerns at the same facility.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
New Puyallup Clinic, in Puyallup, carries federal qualification as a community health center, which means its STI screening fees slide with your income. Walk-in visits are welcome, and the standard panel covers syphilis, gonorrhea, and chlamydia for patients across the full economic spectrum.
Tests offered
Fees & payment
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 3 miles away; if you'd rather skip the trip, an at-home kit ships to Fife, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best value: single tests
$49 & up
Best for simplicity & support
$89 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Pierce County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
1420 3rd Street Southeast Suite 200, Puyallup, WA 98372
CMS-certified lab
611 31st St Avenue Southwest Suite C, Puyallup, WA 98373
CMS-certified lab Accredited · COLA
315 Martin Luther King Jr. Way, Tacoma, WA 98405
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fife. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 2,819 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fife. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,164 offer telehealth.
Daniel Guillory, MD Telehealth
Family medicine · 2209 East 32nd Street, Tacoma
Rami Alhakim, MD
Family medicine · 2222 Meridian Avenue East, Edgewood
Johnny Erkins, MD
OB-GYN · 1708 East 44th Street, Tacoma
Michael Morgan, DO Telehealth
Family medicine · 2748 Milton Way, Milton
Carl Salka, MD
Internal medicine · 503 East 26th Street, Tacoma
Jessica Skelton, DO
Family medicine · 201 West Main, Puyallup
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Fife, WA publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
3.9 mi Pharmacy Operations
4.5 miFred Meyer Pharmacy
4.5 miThrifty Payless
4.5 miShowing the 4 closest pharmacies to Fife, WA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Fife, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Pierce County, the county that includes Fife, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~34% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 39 Washington counties for chlamydia, a higher rate than 85% of the state
| Infection | Pierce County | Washington | United States |
|---|---|---|---|
| Chlamydia | 466.8 4,335 cases ▲ 32% | 354.4 | 492.2 |
| Gonorrhea | 164.7 1,530 cases ▲ 27% | 129.6 | 179.5 |
| Syphilis (P&S) | 30.8 286 cases ▲ 45% | 21.3 | 15.8 |
| Syphilis (early) | 14.6 136 cases ▲ 17% | 12.5 | 16 |
| Syphilis (late/unknown) | 28.6 266 cases ▲ 25% | 22.9 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Pierce County, chlamydia has fallen from 607.7 to 466.8 per 100,000 (23%), gonorrhea has fallen from 239.7 to 164.7 per 100,000 (31%), and P&S syphilis has risen from 11.8 to 30.8 per 100,000 (161%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Pierce County.
Local HIV snapshot
Pierce County HIV care continuum (2023)
Pierce County recorded 8.4 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Pierce County residents living with HIV, 79.3% are in care · 72.4% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Pierce County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Tacoma Junction runs close to the WA 99 corridor where a lot of Fife's working households settle into rentals, and the rhythm here is shaped by shifts, not nine-to-five schedules. Most residents rent rather than own, households tend to run larger than average, and with nearly three in four adults actively in the workforce, the week fills up fast. That kind of schedule compression is exactly why the range of options listed on this page matters: twelve choices spanning different hours, fee structures, and distances from neighborhoods like Tacoma Junction and Lower Portland means that someone finishing a warehouse shift on 54th Avenue East has a realistic shot at finding a slot that doesn't require taking a half-day.
Pierce County's STI rates give context to why that access matters. Younger adults, people in their late teens and twenties still navigating new relationships and changing life situations, make up a substantial share of Fife's population, and they account for the bulk of new diagnoses countywide. Rent at the local median leaves limited cushion for unexpected medical costs, so low-cost and sliding-scale options aren't a side note; they're often the deciding factor.
The spread of listed options, reaching along the Pacific Highway East corridor and out toward Edgewood, means residents can realistically compare distance, cost, and hours before committing to an appointment rather than skipping one.
Getting there
At 7.98/20 on the EPA walkability index, day-to-day errands in Fife generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 98424 snapshot
ZIP-level Census figures for the wider 98424 area around Fife: a single ZIP can span several communities, so they describe the area, not Fife alone.
Fife sits in Pierce County, ZIP 98424. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Fife? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Pierce County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Fife-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Fife often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Washington law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in WashingtonSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
There are 9 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Pierce County reported ~467 chlamydia cases per 100,000 in 2023, above the Washington average.
Most results are ready in about 1–2 days.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Yes, most STIs cause no symptoms for a long time, which is exactly why routine screening matters.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.